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File numbers 4874 - 5509, 1926-1930

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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5212 U. S. DEPARTMENT OF LABOR NOT TO BE FILLED IN BY ALIEN FOR USE OF OFFICIALS SEARCHING IMMI- NATURALIZATION SERVICE GRATION RECORDS CLERK OF COURT: RECORDS EXAMINED Place number in upper left-hand corner of all copies of CARD INDEX declaration, immediately under your INDEX BOOKS declaration number. DISTRICT DIRECTOR OF NATURALIZATION MANIFESTS I desire to file my Declaration of Intention (first paper) to become a citizen. Johnson Mr. My name is Mrs. } selma age, 39 years. Alien should print or typewrite here true, original, and correct name) (Give age last birthday) Miss My present occupation is house-wife My personal description is: Color, white ; complexion, weight, 169 pounds; color of hair, Blonde light ; color of light ; height, 5 feet 6 inches; eyes, flue ; other visible distinctive marks: moleon leftchuly I was born in Undenas Seveden (City or town) (Country) on the 18 day of December 1888 My present residence is Box 21 monthille new London Conn (Number and street) (City or town) (County) (State) The place where I took the ship or train which landed me in the United States was gateborg swiden December 1903 , on The name of the ship or railroad on which I came was Tectonies (Month) Tintoms (Day) (Year) My last place of foreign residence was sand Undenas Sepeden (City or town) (Country) wife I am married. The name of my is ornert She was born at husband He Carl gurtal, Scheder and now said resides at montville , I am now a subject of and intend to renounce allegiance to thing (Write name Gustof V and title of sovereign and country Sweeker of which now a subject; or, if citizen of a republic, write name of republic only) I arrived at the United States immigration port of new York n of (City or town) on December 14 1903 , (State or territory) 14-8 (Give exact month, day, and year) (OVER)

Page data

Page
675
Source index
0
Type
photo
Media ID
18d6904b2ca1769e
Size
unknown

Document data

ID
159596813
Core
doc
Type
document
DTO data 
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Context sent to Scholar

Document identity 
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5212\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nFOR USE OF OFFICIALS SEARCHING IMMI-\nNATURALIZATION SERVICE\nGRATION RECORDS\nCLERK OF COURT:\nRECORDS EXAMINED\nPlace number\nin\nupper left-hand corner of all copies of\nCARD INDEX\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nJohnson\nMr.\nMy name is\nMrs.\n} selma age, 39\nyears.\nAlien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMiss\nMy present occupation is house-wife\nMy personal description is: Color, white ; complexion,\nweight, 169 pounds; color of hair, Blonde light ; color of\nlight\n; height, 5 feet 6 inches;\neyes,\nflue\n;\nother visible distinctive marks: moleon leftchuly\nI was born in\nUndenas\nSeveden\n(City or town)\n(Country)\non the\n18 day of December\n1888\nMy present residence is\nBox 21 monthille new London Conn\n(Number and street)\n(City or town)\n(County)\n(State)\nThe\nplace where I took the ship or train which landed me in the United States was gateborg\nswiden\nDecember\n1903\n, on\nThe name of the ship or railroad on which I came was\nTectonies (Month) Tintoms (Day) (Year)\nMy last place of foreign residence was sand Undenas\nSepeden\n(City or town)\n(Country)\nwife\nI am\nmarried. The name of my\nis\nornert\nShe\nwas born at\nhusband\nHe\nCarl gurtal, Scheder and now said resides at montville\n,\nI am now a subject of and intend to renounce allegiance to\nthing (Write name Gustof V and title of sovereign and country Sweeker of which now a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nnew York\nn of\n(City or town)\non December 14 1903\n,\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}